- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $51.00 / $189.37
| Facility | | $13.34 | $51.00 | $189.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $15.25 / $24.23
| Professional | | $9.88 | $15.25 | $24.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $10.59 / $12.26
| Professional | | $8.47 | $10.59 | $12.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.89 / $58.24 / $106.25
| Facility | | $21.89 | $58.24 | $106.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.35 / $15.71
| Professional | | $5.00 | $9.35 | $15.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $17.64 / $20.34
| Facility | | $17.64 | $17.64 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $38.77 / $88.57
| Facility | | $12.33 | $38.77 | $88.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $13.10 / $26.85
| Professional | | $9.35 | $13.10 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.82 / $179.05 / $179.05
| Facility | | $140.82 | $179.05 | $179.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $17.64 / $22.95
| Facility | | $14.12 | $17.64 | $22.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $17.64 / $20.87
| Professional | | $16.80 | $17.64 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $17.64 / $48.72
| Facility | | $14.12 | $17.64 | $48.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $13.73 / $23.14
| Professional | | $9.35 | $13.73 | $23.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $17.64 / $21.18
| Facility | | $10.36 | $17.64 | $21.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.17 / $14.60
| Professional | | $7.41 | $10.17 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $8.72 / $17.64
| Professional | | $6.88 | $8.72 | $17.64 |